Targeted studies as a learning tool in outcomes assessment.

Authors discuss the need for increased analytical skills in the current medical environment and suggest a method which combines the use of targeted studies and Internet communication as part of graduate medical education. Advantages of such a program include involvement of the private sector in clinical outcome studies, improvements in the design of clinical studies and publications and the early development of skills in interpreting and evaluating literature. A further goal would be the development of an understanding of the principles underlying, to the extent that it is possible, unbiased assessment of one's own clinical practices.

Sinus pericranii.

Sinus pericranii is an anomalous extracranial vascular malformation that is in continuity with the intracranial dural venous sinuses. Five case reports, three congenital and two traumatic, are described. Clinical management, including evaluation, diagnosis, and treatment, is discussed.